Sondra Jayne Affolter, PT

Individual provider Active NPI Physical Therapist · Pittsford, NY

NPI 1194871830 · NPPES record last updated Oct 15, 2015

Key facts

NPI
1194871830
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
030592-1 (NY)
Practice address
50 State Street
Pittsford, NY 14466
Phone
(603) 494-5341
Fax
(888) 310-0035
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1865NHMDPhysical Therapist
030592-1NYMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1865 NH
Physical Therapist 225100000X 030592-1 NY Yes

Addresses

Primary practice location

50 State Street
Pittsford, NY 14466

Mailing address

5335 County Road 37
Hemlock, NY 14466
Phone (603) 494-5341

Other providers in Pittsford, NY

All providers in Pittsford, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.